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Mosby PART 2

Total questions: 35

Worksheet time: 26mins

Name
Class
Date
1.

The OT was asked to design a tenodesis splint for a patient with an incomplete C6 SCI. Which therapeutic goal would this treatment MOST likely support?

a)

Patient will be able to use the hands to perform grasp and release

b)

Patient will be independent with manipulation of fasteners

c)

Patient will assist with self-feeding using adapted equipment

d)

Patient will be able to put on and remove garment using overhead technique

2.

A patient is referred to OT for splinting. The goal of splinting is to increase ROM that will eventually allow improvement in fine motor coordination and prehension patterns. Which strategy should the OT use to accomplish this goal?

a)

Apply a dynamic splint for controlled motion

b)

Apply prolonged stretch to the joint and soft tissue

c)

Position the extremity in a functional hand position

d)

Position the extremity in the safe hand or antideformity position

3.

A client with a TBI is attending a work rehabilitation program. The long-term goal is to have the patient resume work at a food processing plant handling the canning process. Overall strength and coordination are good, but the client exhibits occasional angry outbursts with other workers. The OT program should include:

a)

A program that stimulates the procedures for canning

b)

Prework hardening with emphasis on social interactions and work readiness

c)

Recommendations to physician for medication to help impulse control

d)

Recommendation for client to delay therapy until behavior is controlled

4.

The OT is working with a child who has some behavioral issues and the child's family as well. What are important cultural contextual factors that need to be considered in therapy?

a)

Family's view of disability, discipline and value of independence

b)

School's view of child's academic performance

c)

Family's view of their fit and status in the community

d)

Family's financial status and level of education

5.

An office worker experienced an injury that resulted in being confined to a wheelchair. When the worker returned to work, an OT was consulted to assess the worker and make recommendations about reasonable accommodations. The OT's recommendations should address:

a)

Accessing the building, work area, and bathrooms

b)

Remodeling the building to accommodate the individual's wheelchair

c)

Renting a new office space for the individual

d)

Investigating other job possibilities

6.

The OT designing an intervention plan for a 10 y/o with a learning disability. The intervention plan should focus on developing performance skills related to:

a)

Tactile-kinesthetic input

b)

Behavioral issues

c)

Motor function

d)

Cognition

7.

A patient presents with morning stiffness, joint inflammation, muscle weakness, and difficulty with community mobility and ADLs. The OTs initial goals should be:

a)

Preservation of muscle strength

b)

Maintenance of lifestyle

c)

Relief of pain and inflammation

d)

Education of patient to use adapted equipment

8.

During a treatment session, the OT observes that the patient can flex the affected shoulder through its full ROM in side lying. The OT should progress to activities that places the extremity in:

a)

Gravity-assisted position

b)

Gravity-eliminated position

c)

Neutral position

d)

Antigravity position

9.

A patient with peripheral neuropathy has impairment of sensation in bilateral feet and hands. The main focus of treatment should be:

a)

Desensitization techniques

b)

Sensory retraining or re-education

c)

Compensatory techniques related to safety

d)

Assisting patient in diminishing stereognosis

10.

To evaluate the proper fit of a splint given to a patient, the OT should:

a)

Instruct the patient to return to rehab facility if any redness occurs

b)

Observe for signs of redness after 20 minutes of wearing the splint

c)

Use a splint pattern to custom make the splint for the patient

d)

Observe for pressure marks after 24 hours of wearing the splint

11.

The BEST description of the Model of Human Occupation is:

a)

Activity applies the mechanical principles of kinetics and movement

b)

Sensorimotor principles are applied to activity and occupation

c)

Engagement in occupation occurs within the environment

d)

Central nervous system produces well-modulated movements utilized in occupation

12.

To promote visual tracking for preschooler who has poor tracking skills, which recommendation is the MOST appropriate for the OT to make to the parents for a home program?

a)

Throwing and catching a ball

b)

Catching and bursting soap bubbles

c)

Playing soft ball

d)

Tossing and catching water balloons

13.

A community outing of bowling is planned for a group of elderly patients from a daycare center. Neuromuscular factors that the OT must consider before engaging in the activity are:

a)

Cognition and ability to follow instructions

b)

Strength, coordination and endurance

c)

Attention span and hearing ability

d)

Visual scanning and tracking

14.

An OT in a community center would like to select the best activity to facilitate socialization and to increase several participants' energy level. The BEST choice would be:

a)

Chair aerobic group

b)

Cooking group

c)

Card game tournament

d)

Walk along a path in the park

15.

An 85 y/o client with normal age-related physical changes will have the MOST cardiovascular stress with which of the following activities?

a)

Brushing teeth at the sink while holding onto the counter

b)

Getting dressed while sitting on the edge of the bed

c)

Walking to the mailbox 250 feet from the house

d)

Carrying a basket of laundry from the basement

16.

An elderly client presents with an ulnar nerve injury, for which the OT fabricates a splint. The therapist must take into consideration which of the following goals?

a)

Assist function of thumb for tip to tip prehension

b)

Assist grasp by providing stability of the wrist in extension

c)

Prevent clawing and assist in grasp and release

d)

Prevent overstretching the wrist extensors

17.

The OT is working in the hospital with an 8 y/o child who has burns over 70% of the body. During the initial acute phase of treatment, the OT's primary objective is to:

a)

Assess the child's community participation skills

b)

Return the child to developmentally appropriate levels of play

c)

Prevent loss of joint mobility

d)

Educate the parent on how to advocate for the child's needs when returning to school

18.

The OT is working with a 3rd grade student on handwriting. The OT is asking the child to copy a sentence from the chalkboard to the paper. The OT notices that the child writes down one letter at a time and then looks back to the chalkboard to complete one sentence. The child is MOST likely experiencing difficulty with:

a)

Visual closure

b)

Selective attention

c)

Visual memory

d)

Figure ground

19.

A 7 y/o child with sensory integration dysfunction is working with an OT on the school's playground. The child looks at all of the playground equipment and verbalizes a detailed plan on how to move across the various obstacles. When asked to execute these actions, the child had difficulty making the body do what was conceptualized. The OT needs to address sensory integration dysfunction related to:

a)

Somatodyspraxia

b)

Gravitation insecurity

c)

Modulation

d)

Tactile defensiveness

20.

A child has difficulty holding a fork during self-feeding because of decreased sensory receptors in the hand. The OT will MOST likely recommend the use of:

a)

Weighted utensil

b)

Utensil with a cuff

c)

Larger utensil

d)

Textured utensil

21.

When developing a home program for a child with decreased hand and arm strength, the OT will MOST likely suggest that the child is presented with opportunities to:

a)

Sort dried beans

b)

Play board games

c)

Finger paint

d)

Stir cookie dough

22.

The OT is working in the school systems with the 18-21 y/o population. The focus of OT is MOST likely to address:

a)

Educational goals

b)

Transition goals

c)

Leisure goals

d)

Self-care goals

23.

According to Bobath, the BEST way to regulate increased flexor tone of the upper extremity is by:

a)

Positioning the pelvis forward

b)

Positioning the body in supine

c)

Weight bearing over the involved upper extremity

d)

Trunk rotation

24.

When instructing a hemiplegic patient on dressing techniques, it is very important that the patient is instructed in which of the following:

a)

Weaker arm or leg is dressed first

b)

Stronger arm or leg is dressed first

c)

Clothes with elastic are easier to wear

d)

Clothes a size larger than usual are easier to wear

25.

When facilitating movement in a patient who has sustained a CVA you use the technique of tapping the wrist extensors. This would come from:

a)

Brunnstrom

b)

Bobath

c)

Proprioceptive neuromuscular facilitation

d)

None of the above

26.

A stand pivot transfer would be used for a client when the client:

a)

Can come to standing and weight shift while the therapist secures the client with a transfer belt

b)

Is learning to use a walker for ambulation

c)

Is able to do some, but not full, weight bearing on one or both legs

d)

Has lower extremities that are too weak for weight bearing

27.

The goal of therapy for a patient is to develop and improve hand coordination and skills. The OT should recommend purposeful activities, such as:

a)

Games, crafts, and self-care tasks

b)

Using theraputty and hand gripper

c)

Cone stacking and placing pegs in a board

d)

Playing a "clapping game"

28.

A patient with a head injury demonstrates confusion and constant agitation. The OT intervention should focus on:

a)

Self-care skills

b)

Attention span and safety

c)

Sequencing and organizing tasks

d)

Functional transfers

29.

Your patient is refusing all groups. You would:

a)

Realize that you can't make the patient go and remove the patient from your caseload

b)

Tell the patient that it's mandatory and the doctor said that the patient has to participate

c)

Get the nurse to make the patient go

d)

Ask the patient to tell you why they do not want to participate

30.

A parent reports that their child sleeps pushed up against the sides of the crib. The parent states that the child pushes hard into one end of the crib. The OT realizes that this child requires treatment that focus on:

a)

Proprioceptive input of deep pressure

b)

Vestibular input of spinning

c)

Light touch

d)

Kinesthetic input

31.

An OT in early intervention suggests to a family that their child, who is sensory defensive, would benefit from having the tags cut out of his T-shirts. The term that BEST describes this type of intervention is:

a)

Adaptation

b)

Supportive

c)

Reframing

d)

Remediation

32.

OTs contribute to the goal of inclusion for all children. When children are included, services are provided in a:

a)

Natural environment

b)

Special education classroom

c)

Specifically designated area

d)

Rehabilitation clinic

33.

EBP is the determination of intervention strategies based on:

a)

Extent research findings

b)

Research findings, the OT's own experiences, and family priorities

c)

An OT's expert opinion

d)

Other discipline's practice

34.

Which of following theories / approaches would be MOST associated with intervention emphasizing structure and feedback during performance of hand skills as well as repetition of activities?

a)

Motor learning theory

b)

Developmental FOR

c)

Sensory integration FOR

d)

Behavioral theory

35.

Which ADL activity would the OT caution a patient with a recent hip replacement to avoid?

a)

Tying shoes

b)

Pulling up pants

c)

Putting on shirt

d)

Bathing the back